Date: 26 November 2013
Secondary metabolites, structure diagram: Trivial name – ditryptophenoline
Copyright: n/a
Notes:
Species: A. flavusSystematic name: [10b,10’b-Bi-10bH-pyrazino[1′,2′:1,5]pyrrolo[2,3-b]indole]-1,1′,4,4′-tetrone, 2,2′,3,3′,5a,5’a,6,6′,11,11′,11a,11’a-dodecahydro-2,2′-dimethyl-3,3′-bis(phenylmethyl)-, (3S,3’S,5aS,5’aS,10bS,10’bS,11aS,11’aS)-Molecular formulae: C42H40N6O4Molecular weight: 692Chemical abstracts number: 64947-43-9Selected references: Springer, James P.; Buechi, George; Kobbe, Brunhilde; Demain, Arnold L.; Clardy, Jon (Dep. Chem., Massachusetts Inst. Technol., Cambridge, Mass., USA). Tetrahedron Lett., (28), 2403-6 (English) 1977.
Images library
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High resolution CT scan images with reconstruction of 1mm thick slices at approximately 10mm increments. The scan shows moderately severe multi-lobar cylindrical and varicose bronchiectasis predominantly centrally and in the upper lungs. There is no mucus plugging seen.
The features are in keeping with allergic bronchopulmonary aspergillosis
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pt.SB – 6/10/98 – bronchocentric granulomatosis. CT scan showing multiple small nodules of variable size in both lung fields, apparently close to the vascular bundles.
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Bronchial oedema.Remarkably oedematous bronchial mucosa, as seen in ABPA.
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An example of longstanding allergic bronchopulmonary aspergillosis in a patient who has been steroid dependent for over 15 years showing remarkable kyphoscoliosis and honey combing and fibrosis of both lungs.
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Recurrent pulmonary shadows 1. 6 Jan 1988 – chest radiograph showing right hilar enlargement, consistent with ABPA.
Recurrent pulmonary shadows 1. 3 Feb 1989 – chest radiograph showing right upper-lobe consolidation and contraction consistent with obstruction of RUL bronchus, in ABPA.
Clearing of pulmonary shadows 3, pt BJ. 5 April 1989 – resolution of shadows seen in February, with a course of corticosteroids.
Recurrence of pulmonary shadows 4, pt BJ. 2 September 1989 – recurrence of pulmonary shadows with an exacerbation of ABPA.
Central bronchiectasis, pt BJ. CT scan of thorax October 1989 showing central bronchiectasis, characteristic of ABPA (and cystic fibrosis).
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A typical example of a wet mount of a sputum sample from a patient with allergic bronchopulmonary aspergillosis.